LABORATORY RX, LLC
NPI 1689923989, organization, Frederick, MD, Clinical Medical Laboratory
- Listed on the Medicare revocation list since November 19, 2021.
- Medicaid still paid claims in 8 later months, $131,826 in total.
Public list actions
Paid after the action
Months in which Medicaid paid claims for this provider after a public action that should have triggered a screening check. This is a record of payments, not a determination that they were improper.
| list | identity check | action date | window closed | months paid after | first | last | paid after | 12 months before |
|---|---|---|---|---|---|---|---|---|
| Medicare revocation list 424.535(a)(9) failure to report and 424.535(a)(3) felonies | Exact NPI, name verified | Nov 19, 2021 | Nov 19, 2031 | 8 | Dec 2021 | Jul 2022 | $132K | $167K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | LABORATORY RX, LLC |
| Type | Organization |
| Status | Active |
| NPI issued | August 31, 2012, last updated July 29, 2022 |
| Practice location | 92 THOMAS JOHNSON DR STE 205, Frederick, MD 21702-4403, 240-815-5449 |
| Mailing address | 217 E CHURCHVILLE RD, Bel Air, MD 21014-3825 |
| Authorized official | Aura Ionita (Practice Administrator) |
| Specialties | Pathology, Clinical Pathology/Laboratory Medicine (207ZP0105X) Clinical Medical Laboratory (291U00000X, primary) |
Procedures billed
The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| G0481 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms | $367K | 100% | $131 | $98 (top 5% from $199) | 75th percentile | |
| G0483 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms | $215 | 0% | $7.42 | $146 (top 5% from $318) | too few months to rank | |
| G0482 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms | $0 | 0% | $0.00 | $133 (top 5% from $245) | too few months to rank |
In this area
3 providers in Frederick County, MD carry an indicator in the public record, with $6.1M at stake between them. The most common is paid after a public list action, on 1 of them, followed by part of a provider network on 1. 1 is tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | ADAM MEDICAL EQUIPMENT INC Frederick, MD, ranked 168 | $66K |
|
| 3 | HOMEWOOD LIVING FREDERICK, INC. Frederick, MD, ranked 5270 | $0 |
|
| 4 | JULIO MENOCAL Frederick, MD, ranked 8371 | $6.0M |
|
Recent enforcement in MD
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
Referral packet
The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.